Middleton. Upon termination of this Agreement, all records created or maintained by Middleton in the course of his employment shall remain the property of Healthsource and be returned to Healthsource.
Middleton. I dexxxxxxx xxx xxxxxxxxg as beneficiary of any death benefits under this Agreement: Primary: ------------------------------------------------------------------------ ------------------------------------------------------------------------ Relationship and Social Security Number: --------------------------------- Contingent (if the Primary is deceased): ---------------------------------------- ------------------------------------------------------------------------- Relationship and Social Security Number: --------------------------------- Note: o Include instructions regarding how you want benefits divided if you are naming more than one Primary or Contingent beneficiary and their share is not equal. o To name a trust as beneficiary, please provide the name of the trustee(s) and the exact name and date of the trust agreement and the tax identification number. I understand that I may change these beneficiary designations by filing a new written designation with the Company. I further understand that the designations will be automatically revoked if the beneficiary predeceases me, or, if I have named my spouse as beneficiary and our marriage is subsequently dissolved.
Middleton. Date ---------------------------------------- Received by the Company this day of , 2003. --- ----------------- By -------------------------------------- Title ----------------------------------- SCHEDULE OF EARLY RETIREMENT BENEFITS (as of each December 31) Michael L. Middleton Date xx Xxxx April 30, 1973 Normal Retirement Date (Age 62) October 18, 2009
Middleton. 2) Onsite Rates below are for 1-hour personal training sessions to be conducted at _ ______ .
